| NPI | 1407343809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM M-10723) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM X-10377) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2019-10-31 |